PCMH Psychiatry Attachment Guide The accompanying excel documents outline the i
PCMH Psychiatry Attachment Guide The accompanying excel documents outline the individualised six week Galway timetables for each student undertaking the PCMH (Primary Care & Mental Health) module in the current academic year. Students should locate their number (please see the separate document on Blackboard with regards to student names and their allocated number). The corresponding number on the timetable indicates the student’s individual timetable for their 6 week clinical placement in PCMH (read across). We suggest you identify your activities over the 6 week period and transfer them into your own diary located in the back of your logbook. Please take care that you download the correct timetable intended for you (there are two per semester)- If you start with PCMH(Psychiatry/GP/ENT) then you need the group 1 timetable If you start with WCH (ObsGynae/Paeds) then you need the group 2 timetable. The timetables are broadly similar with some small changes to accommodate for bank holidays etc. The didactic teaching programme (for weeks 1 & 2 in semester 1 and week 1 in semester 2) is outlined in the separate schedule, which can be accessed via Blackboard. Your psychiatry tutor is Dr James Mc Loughlin (james.mcloughlin@nuigalway.ie) General Practice: GP Placement outlines the two week period that each student will spend on clinical general practice placement. Further details can be found on Blackboard. GP SGT refers to the sessions for general practice small group teaching which have been allocated to each student. Further details can be found on Blackboard. ORL: ENT SGT relates to the small group teaching sessions in Otorhinolaryngology to which the student has been allocated. Further details of locations for these sessions can be found on Blackboard. ENT OPD refers to allocated sessions for student attendance at ORL outpatients clinic, on the ground floor of the main hospital outpatients department. Psychiatry: 1 Psychiatry SGT sessions are divided by the topic/nature of the session. Video (Students must seek out their own patient to record with) o Video recording and feedback sessions, which are conducted in the Seminar Room in the Dept of Psychiatry. o Tuesday: 9am - 1pm, Wednesday: 2pm – 5pm, Friday 22nd Sept, 1pm-4pm o Videos are recorded at the beginning of the session (approx. 1.5 hours with a dedicated videographer) and then the feedback session takes place (11:30am and 3:30pm respectively). It is recommended to familiarise yourself with the patient prior to the video session, and you must first speak to the patient to see if they are willing to participate. Please try to discuss with your team about finding a suitable patient, failing this speak to the nursing staff about who may be appropriate. The purpose of the session is to work on communication skills and style of history-taking, it is not about taking an exhaustive history from the patient. Please note that patients on “level 2 observations” or involuntarily detained patients are not permitted to leave the ward for the video. Please inform a member of nursing staff when taking a patient off the ward. If you have difficulty recruiting patients from the ward to take part in their video interview session, there is a community Day Centre for out- patients called Danesfield House on Sea Road which has some patients who may be suitable. You should speak with nursing staff on the in-patient ward to ask about any suitable patients- if this isn't fruitful you can call Danesfield House on 091587841. This will require some advance preparation (ie at least 1-2 days in advance) on your part and will not work as a last minute measure. You may also ask a patient you have seen in OPD or the Day Hospital if suitable. Case Conference: o Consultant-led case conference, conducted in the Seminar Room in the Dept of Psychiatry o Wednesday: 12pm – 1pm o The consultant will interview a patient in person and lead a discussion with the students around the case Case Discussions (NB require student preparation): o Weeks 2, 4, 6 conducted in the Seminar Room in the Dept of Psychiatry o 30 minute discussion of two cases by two student groups who will discuss the case via a Powerpoint presentation with a consultant o Groups vary in number from 8-12 students, please divide yourself based on numerical order, eg the first group in Week 2, Monday at 12pm, students 37-45, split into two groups: 37-40 and 41-45, and so on (with uneven groups, the “extra” student enters the second group). o Students should ideally select a patient from the in-patient ward but an interesting out-patient case may also be utilised o Three students will take turns to present the case: one student will present the complete History, another the Mental State Exam and Formulation, a third will 2 present Differential Diagnosis and Management Plan – we suggest this should contain approximately 15 slides and take no more than 15 minutes to allow for 15 minutes of discussion after the presentation. o Although just three students are required to present the case, it is essential that each student meet with the patient and participate in the preparation of the presentation as every member of the group is expected to participate in the discussion on the day. o Monday: 12pm – 1pm , Thursday: 12pm – 1pm PBL: o Problem Based Learning sessions o Please look at the slides on Blackboard prior to attending the sessions and try to answer the questions as prompted o Wednesday and Friday morning sessions take place in the Seminar Room, Dept of Psychiatry from 9:15am-11:15am (approx.), Wednesday afternoons 2-4pm o Tuesday morning and Wednesday afternoon sessions take place in the Atrium, just beside the Stem Café, next to the doors to the hospital corridor. o The exception to this is the PBL in the afternoon of Wednesday September 20 th, which will be on in the seminar room. Therapeutics Seminar: o Case-based discussion of principles of therapeutics, conducted in the Seminar Room in the Dept of Psychiatry o Wednesday: 9:15am-11:15am (approx.) Clozapine Seminar: Seminar delivered by Clozapine nurse manager, Seminar room, from 2-3pm. This is repeated so all students should have a chance to attend, with the same material presented each time. Mindfulness Seminar: Seminar run by Dr Catherine O’Brien, from 1-2pm in the CAMHS in-patient unit gym (accessible by the shuttle bus from GUH), discussing the use of mindfulness for improving mental health. This includes a discussion of the CAMHS in patient unit and how it operates. Again this is repeated so all students have an opportunity to attend. General Adult Psychiatry Clinical attachments are outlined by consultant name and team activity to which the student has been assigned. Unless otherwise stated the ward rounds and clinics commence at 9am (sometimes 9:30am), it is recommended to arrive at 9am, and 2pm in the afternoon. 3 [WR: ward round, MDTM: multi-disciplinary team meeting, OPD: outpatient clinic, DH: Day Hospital] Unfortunately there is no reimbursement scheme for travel for those students who are allocated to peripheral teams. Discuss with the NCHD on your team if they are able to assist with providing transport. Please note that you are not expected to attend the peripheral location every day, only on days where you are scheduled for a clinic or team meeting that takes place in that location as per your timetable and team schedule. We strongly recommend that prior to travelling to a peripheral clinic (particularly Tuam, Loughrea etc) that students confirm the clinic is taking place either with the NCHD or by calling the clinic/secretary to save unnecessary journeys and expense, as occasionally clinics may be cancelled. If you cannot get through to anybody to confirm please contact your tutor in good time for assistance. A number of teams share the Day Hospital, which is located on Beal Srutha, just off Castlepark Road, Ballybane (near GMIT). Day Hospital tel # 091 748414 CMCD: Prof. Colm McDonald/ Dr. Brian Hallahan Dr Memoona Usman NCHD (086 2083568) Based in GUH- Monday ward round takes place in Professor Mc Donald’s office, first door on the left as you enter the psychiatry ward, meet the NCHD at station A. All out patient clinics take place in GUH psychiatry OPD. There is a dedicated Bipolar clinic on alternate Monday afternoons from 2-5pm. The Thursday and Friday morning MDT’s take place in the meeting room which is located in the short corridor between the OPD and in patient ward. The Friday OPD commences at 11:30am following the MDT. EW: Dr. Elizabeth Walsh Dr Anna Mc Intyre NCHD (086 2482290) Based primarily in GUH- assigned clinics take place in GUH Psych OPD but there are other clinics in Carraroe/Clifden which you may ask to attend if possible. The Monday ward round takes place in the meeting room which is located in the area between the OPD and in patient ward at 9:30am. Talk with the team NCHD’s about possible reviews on Monday afternoon. The Wednesday clinic begins at 9:30am. Talk with uploads/Sante/ psychiatry-attachment-guide.pdf
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- Publié le Oct 19, 2021
- Catégorie Health / Santé
- Langue French
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